✨ About The Role
- The Case Manager RN will work remotely to support Medicare/Medicaid members transitioning from inpatient to outpatient care.
- Responsibilities include collaborating with hospital discharge planners and outpatient providers to ensure safe transitions for members.
- The role involves conducting face-to-face visits in hospitals and home visits for high-risk members post-discharge.
- The RN will utilize the Coleman Care Transitions Model to assess and coordinate care, focusing on medication management and follow-up care.
- The position requires local travel (40-50%) to meet with members and healthcare teams as needed.
âš¡ Requirements
- The ideal candidate will have a strong background in nursing, specifically as a Registered Nurse (RN) with an active and unrestricted license in Michigan.
- Experience in case management, managed care, hospital settings, or home health is highly preferred, ideally with 3-5 years in relevant roles.
- Strong computer skills and attention to detail are essential for managing multiple systems and accurately documenting member interactions.
- The candidate should possess excellent communication skills to effectively engage with members and coordinate care with various healthcare professionals.
- A bachelor's degree in nursing is preferred, along with any relevant certifications such as Transitions of Care Sub-Specialty Certification or Certified Case Manager (CCM).